Permit CITY OF TIGARD BUILDING PERMIT
111 ' COMMUNITY DEVELOPMENT Permit#: BUP2016-00166
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2016
Parcel: 25101 DD00400
Jurisdiction: Tigard
Site address: 6825 SW SANDBURG ST
Project: Vigilant Subdivision: SALEM FREEWAY SUBDIVISION Lot: 2
Project Description: TI for existing tenant: Adding(3)interior door openings.
Contractor: JAEGER& ERWERT GENERAL CONT LLC Owner: VIGILANT
601 S MCLOUGHLIN BLVD 6825 SW SANDBERG ST
OREGON CITY, OR 97045 TIGARD, OR 97223
PHONE: 503-969-1276 PHONE:
FAX: 503-723-8042
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 05/18/2016 $88.00
Occupancy Grp: B Occupancy Load: Permit Fee-Additions,Alterations, 05/18/2016 $301.85
Demolition
Dwelling Units: 0 12%State -Surcharge Building05/18/2016 $36.22
Stories: 2 Height: 0 ft Plan Review e 05/18/2016 $196.20
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 05/18/2016 $120.74
Value: $15,000 Info Process/Archiving-Lg$2.00(over 05/18/2016 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $747.01
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OU NC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: _
Call 503.639.4175 by 7:00 a.m.for the next avai action date.
This permit card shall be kept in a conspicuous place on the job site until completion of e project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application . /r3 m 0
Commercial FOR OFFICE USE ONLV
�' Received
s - _ City of Tigard Date/B : Permit No.: ,�
lig13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review „�j`m �
Phone: 503.718.2439 Fax 503.598.19 DateB �yD-, L� Other Permit:
T I GA R D Inspection Line: 503.639.4175 CE��. Date Ready :y: See Page 2 for
Internet. www.tigard-or.gov JJJIIL.���J�� 8.-2,016,-. Notified/Method:, LL i, i, �,1a� ' Supplemental Information
, � �`-.... .. • `' (�LFII2EI►DAA : A �TAtIL1'AVVIA13T1%
E New construction ❑ 'ti91 Permit fees*are based on the value of the work performed.
�l '1�- ------ Indicate the value(rounded to the nearest dollar)of all
® Addition/alteration/replacement • S • : i(N� fIV1SION equipment,materials,labor.overhead,and the profit for the
a v{ i1.\ work indicated •on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
Number of bedrooms:
❑Accessory building E3multi-family[3Master builder ❑Other: Number of bathrooms:
INFORMATION',AND LOCATIONT Total number of floors:
Job site address:6825 SW Sandburg St. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Building T.I. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
SW Sandburg St.&SW 72nd Ave. Other structure area: square feet
�'atil D)DATA:t2O14 MRCIAL UgkCHECiKLLST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment.materials,labor,overhead,and the profit for the
9i ESORIPTION OF'WORK work indicated on this application.
Tenant Improvement:Add three(3)new interior building standard doors. Valuation: $15,000.00
Re-install 1 toilet and 1 sink in lower level to provide additional plumbing Existing building area: 12013 square feet
fixtures. New building area: 0 square feet
D P1l PERTX- R i ' ❑'zTENANTs Number of stories: 2
Name:Vigilant-Counsel for empolyers Type of construction: V-B
Address:6825 SW Sandburg St. Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing: B
Phone:(503)620-1710 Fax:(503)620-3935 New: B
4t41'PL Cvsi1T; ❑,coNTzAYrI' t'?hRSVN, . _ . 'rBUILiDING PERMIT FEES*
Business name:Toni King&Associates (Pletase-rejer=roJcescaeifule)
Structural plan review fee(or deposit):
Contact name:Peter Kim
FLS plan review fee(if applicable):
Address: 1327 SE Division St. •
. Total fees due upon application: .
City/State/ZIP:Portland,OR 97202 •
Phone:(503)235-0243(#4) Fax: :(503)546-5698 Amount received:
E-mail: pk@tonikingassociates.com
PHOTOVOLTAIC SOI "/PANELtSYST M.FEES*
• Commercial and residential prescriptive installation of
• , • CO TOR . _ roof-top mounted Photo Voltaic Solar Panel System.
Business name:Jaeger&Erwert LLC Submit two(2)sets of roof plan with connection details
and fire department access•along with the 2010 Oregon
Address:601 S McCloughlin Blvd. Solar Installation Specialty Code checklist.
City/State/ZIP:Oregon City,OR 97045 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)969-1276 Fax:(503)723-8042 State surcharge(12%of permit fee): $21.60
CCB lic.:140693 2,mi, . Total fee due upon application: $201.60
"00,-
Authorized sigmai `,��'r This permit application expires if a permit is not obtained
s, r/i �/ within 180 days after it has been accepted as complete.
Print name:Peter M.Kim Date:May 18,2016 * Fee methodology set by Tri-County Building Industry
Service Board.
I\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per-cent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $ 15,000
MULTIPLIER(25%barrier removal requirement): a .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 3,750
ELEMENTS: In choosing which accessible elements to provide under this section,priority'shall be given
to those elements that will provide thegreatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
(g(V' l S /0-0 b a.(CSi Gee , o APA
verde IS B yrn i ,1
1:ABuilding\Femurs\BUI'-COM Permitlpp.doc U3/...t
/c ),/
11111 City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: )/(0--00 /(o(p
Site Address: Co 2.S S v'/ Sm n olio 9 • S+ • Suite/Bldg#:
Project Name: V i (I 'd 001" -1 _L.
(Name of Commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T T Ol do( 3 Y')z,w 1 (1 t-e1 a.)r 0ru0 r , re-in ciu
i- 4es i 1..12.(- CSI n d 1- S i r1 v__ 10 LC vv - l �-Ai'e
Existing Business Activity: Obit MI/JCAQ V/./ u_
Proposed Business Activity: C7✓1 n'u2f CRJ_ 6 F(.I 02_
Fi Verify site address/suite# exists and active in permit system.�
�I River Terrace Neighborhood: ❑ Yes .YJ No
Z Zoning: C P
vEr Permitted Use: .El Yes ❑ No E Spec Space
pConfirm no land use required.
Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: /1A)V1 lam, a')Oki CAA"— Date: 5/ /e/ i 6
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: Slit//c,
Site Plans: # Ailit
Building Plans: # 3
Building Permit#: mer building permit# above.
Workflow Routing: S-15—mi ❑ Permit Coordinator C�Su TMi
Workflow Sign-off: SLS ign-off for Planning(include notes from planning review)
Route Application Documents: ' ing: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: a/L
By Permit Technician: �� ..,__..,_ _____.: Date: 5X/r//6
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
L\Building\Forms\BldgPennitRvw_COM_NoLandUse_070915.docx
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
6825 SW SANDBURG ST, TIGARD, OR, 97223
Commercial - Building
275 Framing
PASS
BUP2016-00166
Jeff Grove
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
6825 SW SANDBURG ST, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2016-00166
Jeff Grove
Violation Summary:
Inspector Contractor